Genetics Collection LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GENETICS COLLECTION LLC

Practice address

214 W 70TH St Ste 205
Shreveport, LA 71106-3756

Phone

(318) 505-2079

NPI assigned

Sep 17, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Antiska Tujunna Haynes, LPN

Title

Owner

Phone

(318) 505-2079

Specialties & licenses 1

Addresses

Other names 1

• Genetics Collection Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1104432970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W 70TH ST STE 205",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711063756",
            "telephone_number": "318-505-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 70TH ST STE 205",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711063756",
            "telephone_number": "318-505-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENETICS COLLECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "ANTISKA",
        "authorized_official_middle_name": "TUJUNNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-505-2079",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genetics Collection",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Iesha N Geiggar
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• Eric Geist, DDS
• Generational Health of Louisiana
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• Beth Harvey Geneux, MD
• Emile Thomas Geneux II, DDS
• Genlegacy Transportation LLC
• Sonja Ann Gennuso, MD
• Genoa Healthcare LLC

• Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.